Inflammatory bowel diseases, mainly comprising of ulcerative colitis (UC) and Crohn’s disease (CD), result in the chronic inflammation of the gastrointestinal tract. Genome-wide association studies have associated the 14q31 locus, including the genes galactosylceramidase (GALC) and G protein-coupled receptor 65 (GPR65), to those phenotypes. The most associated variant in this region for IBD (rs8005161; p=2,35x10-14) is correlated (r2=1) to a missense coding variant of GPR65 (rs3742704: Ile231Leu). GPR65 encodes a pH-sensing G protein-coupled receptor (GPCR). We observed that GPR65 is expressed in lymphoid and mucosal tissues as well as in immune cell lines and human primary immune cells. We also found that its expression is significantly increased in inflamed biopsies from UC patients compared to non-inflamed biopsies and biopsies from healthy controls. Upon activation by low pH, GPR65 stimulates accumulation of cAMP, formation of stress fibers and activation of the RhoA pathway. Thus GPR65 is a good candidate causal gene for the IBD pathology. Our objective, therefore, was to define pathways downstream of activation of GPR65 and to evaluate the impact GPR65*231Leu on these pathways. We used HEK 293 cells stably expressing one or the other allele of GPR65 and deficient for either Gαs/olf, Gαq/11 or Gα12/13 as it is known that Gαs/olf activates adenylyl cyclase, Gαq/11 leads to the release of intracellular Ca2+, which can also activate certain isoforms of adenylyl cyclase, and that Gα12/13 regulates actin cytoskeletal remodeling. We demonstrated that cAMP accumulation upon activation of GPR65 is, at least partly, due to the Gαs/olf pathway and only slightly or not at all to the Gαq/11 pathway. The coding variant, however, does not appear to have an effect on that pathway. In contrast, we observed that GPR65*231Leu variant reduces the GPR65-dependent stress fiber formation and inhibits the increase of filamentous actin (F-actin) content versus free globular-actin (G-actin) upon activation by low pH. Also, preliminary data showed that the stress fiber formation in HEK293 cells is due to the G12/13 pathways. In conclusion, we demonstrate that GPR65 activates both Gαs and Gα12/13, the coding variant alters the actin remodeling pathway and that GPR65 potentially has a causal role in IBD.